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Individual

PAUL JORGENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., CF-SLP

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
1608 NE HALSEY ST, PORTLAND, OR 97232-1436
(406) 471-2710

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/29/2022
Last updated
06/29/2022
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